Swiss Medical Weekly (Dec 2021)

PCR performance in the SARS-CoV-2 Omicron variant of concern?

  • César M. J. A. Metzger,
  • Reto Lienhard,
  • Helena M. B. Seth-Smith,
  • Tim Roloff,
  • Fanny Wegner,
  • Jonas Sieber,
  • Michael Bel,
  • Gilbert Greub,
  • Adrian Egli

DOI
https://doi.org/10.4414/SMW.2021.w30120
Journal volume & issue
Vol. 151, no. 4950

Abstract

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Summary The new SARS-CoV-2 Omicron variant (B.1.1.529) has been recently declared a Variant of Concern due to a series of important mutations in the viral spike protein and especially in the receptor-binding domain. While investigations into the spread of this new variant are ongoing, the first cases have been detected in Switzerland. Important questions have been raised: (1) Will the PCR assays commonly used to detect SARS-CoV-2 still work for the Omicron variant? (2) Can specific PCR features, e.g. S-gene dropout, be used to identify potential Omicron samples? In this minireview we provide current knowledge on the Omicron variant and guidance on its PCR validation.